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2012 <br /> To B� ��p W�TM Exemption Application FORM <br /> v uR forTax �xemption on Real and Personal Property by Qualifying Organizatinns ��� <br /> C�UN7Y SSES50R Read instructions on reverse side. <br /> Failure to properly�omplete vr file this application in a timely manner shall result in a disapproval of the exemption. <br /> ame oi prganization County County No. 7ype of Ownership <br /> THE GRANQ FOUNDATION INC Hall 40 � NonprofitCorporation <br /> Street or Other Mailing Address State Where Incorporated � Other(Specify) <br /> 316 W 3RD S7 NEBRASKA <br /> City State Zip Code Actual Value Parcel or Location I�Number <br /> GRAND ISLAND NE 68801 62,741 �400004666 <br /> Legal description of real property and general description pf all tangible personal property,except licensed motor vehicles: <br /> URIGINAL TOWN E 2/3 LT 6 BLK 57 <br /> Title of�fficers, <br /> ame l7' ctors,ar Partners Address,City,State,Zi Code <br /> .Z.�? �'drYi - � <br /> _ - G(.� - � �l <br /> y�4� C.c' >y = � .. <br /> r a }� � � <br /> Property described above is used in the following oxem t category(please mark the applicable 6oxes): <br /> �Agricultural/HorYicultural Society" �ducational �F�eligious �Charitable �Cemetery <br /> Give a detailed descri tion oF the use of the pro ert : � _ . ^��f ��j ��^q�' <br /> (�p P � � �'y\1_,�;��,L`�{�.�G.L.exe J <br /> ..1./l,A^'L. �� � . C�''�,(.c� <br /> - ) � � o <br /> �'��cultural/Horticultural Society does not neLd to compleie the following questions. <br /> all of the property used exclusively as described above? ,�YES �Np <br /> Is a portion of the property used for the sale of alcoholic beverages? �YES �NO I(Yes,state the num6er of hour5 per week <br /> Is the property owned or used by an organization which discriminates in <br /> membsrship or emptoyment based on race,calor,or national origin? �YES NO <br /> Under penalties of Iaw,I declare that I hav examined this exemption appllcation and,to the best of my knowledge and belief,it is correct and <br /> complete.I also declare that I am duly auth zed to sign this exemption application. <br /> � � /~7��� /I <br /> 51 C�M"1 .. � _.....`°'` % <br /> here Au�horize ture 7itle pate <br /> �OR CPUNTY ASSESSDR'S R�COMMEtdDAT10N <br /> �APPROVAL COMMENTS: �� �o (+�� ��� � <br /> ❑ APPROVAL DF A PPRTI�N <br /> ❑ DISAPPROVAL <br /> � ��d,-l�. <br /> Signatu Cpunty Assessor Date <br /> FOR COUN�fY BOA 4�EQUALIZATION USE ONLY <br /> I declare that.to the best of my knowledge and belief,the determination hereby made by the County Board of Equalization is carrect pursuant <br /> to the laws of the State of Nebraska. <br /> Q�APPROVED COMMENTS: <br /> � � <br /> ❑ APPROVAL OF A PQRTION , ` �'"" <br /> �_ �f.T . — i :.� <br /> :t_;_..r,:��_:,�':�' ��� <br /> � pISAPPROV�� ��— / —/� <br /> ignature o Count rd ber a <br /> Cbfaskd D2�>artrtle�l 01 FlBVBnue � ih z by e , e�.Stal.§77•202.01 <br /> J6•135-1999 Rev.7•2010 Supersedes 96-135-1999 Rev.11•2D08 <br /> E°�f�d..R �,�t.)L���e�`�' i�����5��� <br /> PLEAS�MAK�A COPY FORYOUR RECORDS ��,���;�1�:�(a-���t.i,�°:��=^�p��`�� <br />